doctHERS-in-the-House
Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.
Impact: What is the impact of the work to date? Also describe the projected future impact for the coming years.
Financial Sustainability Plan: What is this solution’s plan to ensure financial sustainability?
Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?
Founding Story
Dr Sara
Khurram
doctHERS-in-the-House
, Karachi
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2013
Quantitative:
• Through the USAID funded, Sultanabad Community Health Center, 250,000 urban- slum dwellers have had access to quality primary care
• 500 women have been examined in Ante/Post Natal care visits
• Telehealth-facilitated OB/GYN consultations have led to 70+ safe hospital deliveries
• In collaboration with PPAF and HANDS- we are embarking on a pilot to train 1000 Community Health Workers on hand-held diagnostics, guided by home-based doctHERs
• Finalizing 3 MOUs with Partner Organizations to create ‘village specialist’ entrepreneurial opportunities for 3000 rural lady health workers working with DoctHERS
• Creating access to approx 9000 female physicians in Pakistan & diaspora
• Launching a Tech-enabled Community Clinic with DHA Services in Karachi
• Finalizing Media and PR outreach including a national Health TV program series
Qualitative:
• Increase recruitment, retention and re-entry of women into workforce
• Quality and affordable health interventions for marginalized
• Positive social impact for women in context of career, family & community
• Technology: We rely on connectivity and disruption of service to internet/mobile /electricity could effect services. On the service end- doctHERS are logged into a system that will allow a consultation to be re-routed to another doctHER who is online if needed. We are also testing rural feasibility with our partners and are ensuring that all centers have back-up generators and UPS devices.
• Socio-Culture Resistance: Through mentorship, success stories & ambassadors- create awareness via targeted mediums: women’s morning shows, social media, speaking engagements, Radio, Print
• Professional: Current medical establishment may feel threatened by sudden influx of home-based female doctHERs & disruptive innovations. May try lobbying government for additional regulations/licensing procedures for such practitioners. Low perceived risk given huge mismatch in demand/supply of healthcare
• Trust: Skepticism for new idea in market. Work with existing providers to establish credibility
• Data Security/Integration: Work with IT partners to ensure data security following global standards
Supply: Build global network of home-based dithers with initial focus on countries richly populated by Pakistanis. This global network can be scaled to include female doctHERS from countries in MENA (and their corresponding diaspora populations) who are currently excluded from professional workforce.
Demand: Challenges that low-income Pakistani women face in accessing health care are similar to those of women in many countries in MENA. We anticipate that the launch of doctHERs-in-the-house in the UAE & Saudi Arabia will create similar demand for services in other MENA countries which will lead to replication in relevant countries.
Policy Reform: doctHERs–in-the-house will lobby MENA governments to reimburse for healthcare services provided (directly/indirectly via phone/video and/or assisted by CHWs) & to subsidize payments on behalf of ultra-poor patients.
DIH has a fee-for-service revenue model.
DoctHERs will charge 250 Rupees ($2.50) per patient/virtual clinic visit using mobile financial services (patients will be able transfer digital payments in real-time to the doctHERs mobile bank account via a mobile banking service). Of this, 60% (150 Rupees/$1.50) will go to the DoctHER , 20% (50 Rupees/$0.50) will go to the Community Health Worker and 20% (50 Rupees/$0.50) will cover our operating expenses, program costs and yield a projected net operating margin of 5-6%.
Operating costs include:
• Cost of installing and operating an ICT platform that enables video messaging and mobile, digital payments,
• Cost of peripheral diagnostic equipment
• Mobile application and software development costs
DoctHERs-in-the-house was conceived shortly after I conceived my baby. During my 1st trimester, I had to be on bed-rest and wondered if this would be the end of my career? I didn’t want to have to choose between my family and my career. Luckily my management had a different opinion. Rather than accepting my resignation, my CEO challenged me to think differently and explore new ways to work. Every time my health demanded something (no walking, no elevators, no sick patients, bed-rest) we had to be agile and innovate. My family/friends were amazed at the support I had and the impact I was making and I felt really empowered. I started to engage other female doctors who were not allowed to practice due to their family constraints. I felt tremendous empathy for these professionally stifled women and resolved to create an innovative ‘3rd’ track, an alternate route of delivery quality healthcare at an affordable price . I gave birth to 1 baby girl and 1 doctHERS-in-the-house!
Partner Organizations:
PPAF (Pakistan Poverty Alleviation Fund)
Naya Jeevan
Hands
APPNA
IMANA
Poverty Eradication Initiative/ Fincon
Consortium of Top Medical Schools in Pakistan
Health TV
Knowledge Bench:
Every Mother Counts
Merck for Moms
Grand Challenges- Saving Lives
Hesperian
Comments
This is such a thoughtful, health-centric, woman/child/community friendly project.
I am really impressed and would like to be involved in some way if you can think of any way. I am based in Ottawa, Canada and work in Maternal and Infant Health. Good job and great priorities!
Very beautiful photo!
All the while, the same Pakistan boasts 85% penetration of mobile access to mobile & internet technology. Given the significant demad-supply mismatch between doctors and patients, it behooves us to question how we can use technology to bridge this gap? http://advanpro.ca/chimney-sweeping-or-cleaning/
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